Get Eres Form 102 2021-2025

Filling out the ERES Form 102 online is a straightforward process that can facilitate your nursing license confirmation for licensure in the United States. This guide provides clear, step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to complete the ERES Form 102 online.

1. Press the ‘Get Form’ button to access the form and open it in the online editor.
2. Begin by providing personal information in fields 1 to 5. Input your first name, middle name (if applicable), last name, and date of birth in the specified format (MO / DAY / YEAR).
3. In field 2, enter the name or title of your nursing license in English.
4. Fill in the nursing license number in field 3, followed by the date it was issued.
5. Select the states where you are applying for a nursing license in field 4. Mark the applicable boxes, or write in other states if necessary.
6. In field 5, provide your signature, date (MO / DAY / YEAR), and your email address.
7. Record your phone numbers in field 6, specifying your cell, home, and work numbers.
8. Indicate if you are requesting rush service in field 7 by selecting one of the options: Regular, R15, R10, or R5.
9. After completing all sections, you may choose to save your changes, download the form, print it, or share it as required.

Complete your documents online today to ensure a smooth application process.